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NPI Code Detail

MEDICARE: MRS. PATRICIA COE HOOSIER FNP-BC

MEDICARE: MRS. PATRICIA COE HOOSIER FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner5009952NC

General Provider Information

NPI Number : 1417469867
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PATRICIA COE HOOSIER FNP-BC
Provider Business Mailing Address
First Line : 400 JOHNSON RIDGE MEDICAL PARK
Second Line :
City : ELKIN
State : NC
Zip : 28621-2447
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 400 JOHNSON RIDGE MEDICAL PARK
Second Line :
City : ELKIN
State : NC
Zip : 28621-2447
Country : US
Telephone Number : 336-526-4500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2017
Last Update Date : 12/05/2025

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Directions to “ MRS. PATRICIA COE HOOSIER FNP-BC” Practice Location

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